PrimeRCM
Our healthcare revenue cycle management (RCM) service helps your practice reach financial objectives by streamlining the collection, use and delivery of patient and claims information. Clinically-driven revenue cycle management, we help improve profitability and productivity while reducing costs and overhead.
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PrimeRCM® reconciles immediate healthcare revenue cycle management needs and helps practices better understand the key components of the revenue cycle: how best to benchmark performance using PrimeSUITE® reporting and how to use the tools at your command to improve cash flow toward a healthier, more profitable practice.
Benefits for Your Practice
- Patient-focused – Now you have the time to concentrate on practicing medicine and delivering enhanced patient care without worrying about billing, insurance regulations, high account receivable balances and account receivable follow-up
- Improved business health – With efficient and effective claims management, your practice can see increased cash flow through fewer outstanding insurance and patient account receivables
- Better bottom line – See improved profitability by significantly reducing administrative costs and overhead expenses, and experience increased productivity by reallocating office resources
RCM Services
Insurance accounts receivable management
- Submit electronic and/or paper claims to public/private payers, direct or via clearinghouse
- Accept and verify claims
- Review and follow up on outstanding claims
Patient accounts receivable management
- Review and submit patient statements weekly
- Produce and submit collection letters to appropriate patients
- Field incoming calls regarding patient accounts
Charge posting
- Review charges for Correct Coding Initiative (CCI) compliance
- Enter fee tickets for office, inpatient and outpatient services
- Review and post insurance remittances and patient payments
Payment posting
- Review and post insurance remittances
- Review and post patient payments